For start of case see below (or click https://teamhaem.wordpress.com/2014/09/07/case-25-the-beginning/)

Our #teamhaem via twitter feel the patient does not warrant admission, but after discussion with the haematology registrar it is revealed the patient had diffuse large B cell non-Hodgkin lymphoma ten years ago and was treated with chemotherapy at that point. He had presented with splenomegaly and was diagnosed following splenic rupture. It is agreed that the patient will be referred on a two week wait.

Questions

• Knowing the above past medical history, what information would be useful to know about the current presentation?
• What simple investigations would be useful to know for when the patient attends the haematology department?

Please reply on Twitter and always include #teamhaem to allow others to follow your comments. Please join in the debate and learn about haematological problems along the way. The case will continue to  evolve over the coming week so keep checking #teamhaem for more information.

Please note – all cases on TeamHaem are entirely fictional to protect patient confidentiality.

TeamHaem are not a position of authority.  It is an educational platform to allow discussion